摘要
目的 探究在对老年髋关节置换术患者围术期护理时开展手术室护理干预的作用。方法 在2023年1月至2024年2月本院老年髋关节置换术患者中选择66例,按照1:1随机抽选分组,划分对照组(33例,手术期间开展常规护理)和观察组(33例,实施手术室护理模式)。对比两组围术期指标以及术后并发症等。结果 统计患者手术时间、术中出血量、住院时间、术后下地时间,观察组均低于对照组,P<0.05。术后并发症发生率,观察组较低,P<0.05。结论 在对老年髋关节置换术患者护理时开展手术室护理干预,可以缩短手术时间以及术后恢复时间,并降低术后并发症发生率,有助于患者恢复。
关键词: 手术室护理;老年髋关节置换术;围术期
Abstract
Objective To explore the effect of operating room nursing intervention in perioperative nursing of elderly patients with hip replacement. Methods From January 2023 to February 2024, 66 elderly patients with hip replacement in our hospital were selected and divided into control group (33 cases, routine nursing during operation) and observation group (33 cases, operating room nursing mode) according to 1:1 random selection. Perioperative indexes and postoperative complications were compared between the two groups. Results The operative time, intraoperative blood loss, hospital stay and postoperative time were all lower in observation group than in control group (P<0.05). The incidence of postoperative complications was lower in the observation group (P<0.05). Conclusion The operation room nursing intervention in nursing elderly patients with hip replacement can shorten the operation time and postoperative recovery time, and reduce the incidence of postoperative complications, which is conducive to patient recovery.
Key words: Operating room nursing; Hip replacement in the elderly; Perioperative period
参考文献 References
[1] 石鹏飞,李娜,叶烁,等. 老年髋关节置换术病人围手术期内并发心力衰竭的列线图预测模型构建 [J]. 实用老年医学, 2024, 38 (04): 358-361+366.
[2] 游丽蓉,卓志芳. 髂筋膜神经阻滞联合全身麻醉对老年髋关节置换术患者血流动力学及免疫功能的影响 [J]. 中国医药指南, 2024, 22 (10): 94-96.
[3] 史家杰,权安京,郝丹宁. 超声引导下股神经和股外侧皮神经阻滞麻醉联合全身麻醉在老年髋关节置换术中的应用效果 [J]. 临床研究, 2024, 32 (04): 19-22.
[4] 施明花. 关节囊周神经阻滞与腹股沟上髂筋膜阻滞对老年全髋关节置换术患者疼痛及生活质量的影响 [J]. 现代实用医学, 2024, 36 (03): 394-396.
[5] 赵建华,王玲,李梅,等. 瑞马唑仑对老年髋关节置换术后患者苏醒质量、炎症应激及术后谵妄的影响 [J]. 长春中医药大学学报, 2024, 40 (03): 335-339.
[6] 王成,王品. 羟考酮无背景剂量静脉自控镇痛在老年髋关节置换术后的应用效果 [J]. 中国当代医药, 2024, 31 (06): 86-89.
[7] 王灵通,王晴晴,张爱荣. 艾司氯胺酮对髋关节置换术后轻度抑郁老年患者情绪、睡眠及镇痛的影响 [J]. 国际精神病学杂志, 2024, 51 (01): 180-182.
[8] 杜晓松,周美,王威,等. 基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术患者中的应用效果 [J]. 转化医学杂志, 2024, 13 (01): 82-88.
[9] 戴向华. 影响老年髋关节置换术后患者髋关节功能恢复因素分析 [J]. 交通医学, 2024, 38 (01): 67-69.
[10] 周肖肖,任万陆,马晓贝,等. 老年髋关节置换术患者行椎管内麻醉的效果及对术后认知功能、NOD样受体蛋白3炎性小体的影响 [J]. 吉林医学, 2024, 45 (02): 313-316.